Provider Demographics
NPI:1073706065
Name:FAMILY BIRTH SERVICES, INC
Entity Type:Organization
Organization Name:FAMILY BIRTH SERVICES, INC
Other - Org Name:FAMILY BIRTH CENTER OF NAPLES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MIDWIFE/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:RACHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-594-0400
Mailing Address - Street 1:2930 IMMOKALEE RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1408
Mailing Address - Country:US
Mailing Address - Phone:239-594-0400
Mailing Address - Fax:
Practice Address - Street 1:2930 IMMOKALEE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1408
Practice Address - Country:US
Practice Address - Phone:239-594-0400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL303261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing